Although it is reasonable for Anthem, or any plan, to perform audits of claims received, widespread prepayment audits without indication of prior cause for concern seems unfair and presents a challenge to the fragile health care safety net the ED provides to the community and the managed Medicare population.
Explore This Issue
ACEP Now: Vol 35 – No 04 – April 2016Mr. McKenzie is reimbursement director for ACEP.
Pages: 1 2 | Single Page
No Responses to “Anthem Blue Cross Starts Prepayment Review on Level 5 Emergency Department E/M Medicare Claims”